Older Person, Frailty and Community Care

Understanding the Person, the Illness and the Journey
Dr Naeem Aziz DGM FRCP · Quiet Harbour House · 2026

A multidisciplinary handbook on understanding the person, assessing frailty, recognising illness, supporting recovery and coordinating care across services.

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Full-page viewContentsChoose a chapter…Front coverCopyrightContentsPrefaceHow to use the handbook1 Ageing reserve and the person2 Frailty models and assessment questions3 Equity disability and access to care4 Prevention and living well5 Reconstructing usual function and evidence6 Comprehensive geriatric assessment from information to action7 Clinical Frailty Scale interpretation and limits8 Pictorial Fit-Frail Scale and multiple perspectives9 Communication priorities and shared decisions10 Acute deterioration and diagnostic uncertainty11 Infection suspected sepsis and diagnostic anchoring12 Hydration kidney injury and metabolic change13 Delirium recognition management and recovery14 Falls blackouts and supported mobility15 Fractures osteoporosis and bone health16 Multimorbidity and structured medicines review17 High risk medicines monitoring and withdrawal18 Dementia cognition distress and partnership19 Pain symptoms and treatment burden20 Mood sleep fatigue and psychological wellbeing21 Nutrition, malnutrition and sarcopenia22 Swallowing, oral health and eating decisions23 Bladder, bowel and dignified toileting24 Skin integrity, pressure damage and wound care25 Functional measurement and HABAM trajectories26 Rehabilitation, exercise and enablement27 Occupation, environment, aids and participation28 Recovery, plateau and a changing baseline29 Primary, community and proactive care30 Urgent community response and hospital at home31 Care homes, supported living and continuing partnership32 Community hospital medicine and accountable care33 Transfer, discharge and continuity as clinical work34 Capacity, consent, law and supported decisions35 Future planning, treatment escalation and CPR36 Advanced frailty and integrated palliative care37 Recognising dying and care in the last days38 Clinical governance, capability and workforce39 Outcomes, quality improvement and implementation40 Education, research and maintaining the referenceWorked clinical conferencesIntegrated clinical case atlas: second-half applicationsPractical records and completed examplesWorking glossary for the complete handbookReferences and original sourcesAbout the authorViewPageTwo pagesAccessible text

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Independent educational material. It does not replace individual clinical assessment, current guidance or locally approved pathways. Christine and Chris are AI learning companions and can make mistakes; check important information against the original sources.